目前,加速康复外科(enhanced recovery after surgery, ERAS)理念应用于剖宫产围手术期的益处在欧美国家已得到证实,但由于妊娠期糖尿病(gestational diabetes mellitus, GDM)患者存在血糖控制困难、术后并发症多、可能的胃排空延迟等因...
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目前,加速康复外科(enhanced recovery after surgery, ERAS)理念应用于剖宫产围手术期的益处在欧美国家已得到证实,但由于妊娠期糖尿病(gestational diabetes mellitus, GDM)患者存在血糖控制困难、术后并发症多、可能的胃排空延迟等因素,使ERAS在GDM患者剖宫产围手术期的应用仍处于探索阶段,缺乏针对性、系统性的标准,为其制定个体化的围术期血糖管理方案及ERAS管理方案具有非常重要的临床意义,需要进一步研究探索。The benefits of applying the concept of enhanced recovery after surgery (ERAS) to the perioperative period of cesarean section have been confirmed in European and American countries. However, due to factors such as difficulty in blood glucose control, multiple postoperative complications, and possible delayed gastric emptying in patients with gestational diabetes mellitus (GDM), the application of ERAS in the perioperative period of cesarean section in GDM patients is still in the exploratory stage, and there is a lack of targeted and systematic standards. It is of great clinical significance to develop individualized perioperative blood glucose management programs and ERAS management programs for them, and further research and exploration are needed.
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